Manan I Shah MD PC

NPI #1336468131 in Bethlehem, Georgia

Provider Information

NPI Number: 1336468131
Entity Type: Organization
Organization Name: Manan I Shah MD PC
Primary Specialty: Ophthalmology
Enumeration Date: May 19, 2010
Last Updated: Jun 25, 2014

Practice Location

Address: 14 VISION STREET
Address 2: SUITE 100
City: Bethlehem
State: Georgia
ZIP Code: 30620
Phone: (770) 868-0101

Authorized Official

Name: DR. MANAN I SHAH, M.D.
Title: PHYSICIAN/OWNER
Phone: (770) 868-0101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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